Unusual case of ruptured sinus of valsalva aneurysm in a pregnant woman

Abstract

Sinus of Valsalva aneurysms are extremely rare, and usually of a congenital nature. There are few documented cases of this condition during pregnancy, which renders unclear the therapeutic options. We here report the case of a 26 years old pregnant woman who was referred to our cardiac center for the evaluation of a heart murmur. The two-dimensional transthoracic echocardiography allowed quickly to establishthe diagnosis of a ruptured sinus of Valsalva aneurysm into the right ventricle. A successful surgical correction of the ruptured aneurysm was performed with patch repair.

Sinus of Valsalva aneurysm in Africa: a literature review

“…Furthermore, the coexistence of SOVA, submitral aneurysm (SMA) and LVNC was present in another patient [16]. We would like to emphasize that the coexistence of SOVA and VSD was found in only one patient [8].…”

“…A total of 48 papers were identified, of which 28 records not related to the theme were excluded. A total of 20 full-text papers representing 23 patients, children and adults included, were included in this review [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23].…”

“…A case series with 4 patients and 19 clinical cases of SOVA were identified from reports published between 1962 and 2021 [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23]. Overall, 23 patients with SOVA were identified, and there were 14 males (60.8%) and 9 females (39.1%) (male/female ratio: 1.6/1).…”

Valsalva sine rupture: A case report

“…2020; 31:116-118 118 en el presente caso o con la aurícula izquierda (10%) (2). Se genera un cortocircuito de izquierda a derecha, con insuficiencia cardiaca congestiva aguda, que se manifiesta con insuficiencia aórtica aguda, soplo sistólico-diastólico de reciente inicio en muchos casos, disnea de leve a grave, taponamiento cardiaco, incluso muerte súbita (2,8). Sin embargo; el caso presentado cursó con una evolución lenta, esto podría deberse a la formación de la fístula hacia la aurícula derecha, por lo que podría pasar inadvertido por varios años, hasta que un evento origine la rotura del aneurisma, como por ejemplo, endocarditis bacteriana o un evento de estrés.…”

“…El tratamiento recomendado para un SOVA roto, congénito o agrandado es la intervención quirúrgica urgente que normalmente tiene un bajo riesgo de mortalidad (2,8,9).…”